Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $53.70	Professional		$20.89	$30.90	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $7.59 / $31.62	Professional	26	$3.98	$7.59	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $20.89 / $38.02	Professional	TC	$12.30	$20.89	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.79	Professional		$14.45	$14.45	$14.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $3.09 / $6.46	Professional	26	$3.09	$3.09	$6.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $28.84 / $39.81	Professional		$6.61	$28.84	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $45.71 / $63.10	Professional		$14.45	$45.71	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $8.71 / $14.79	Professional	26	$3.09	$8.71	$14.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $21.88 / $48.98	Professional	TC	$10.72	$21.88	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $40.74 / $60.26	Facility		$22.39	$40.74	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $45.71 / $263.03	Professional		$18.62	$45.71	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.37 / $9.77 / $144.54	Professional	26	$4.37	$9.77	$144.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $36.31 / $223.87	Professional	TC	$14.45	$36.31	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $25.12	Facility		$10.00	$15.14	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $31.62 / $61.66	Professional		$18.62	$31.62	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $6.46 / $11.48	Professional	26	$3.89	$6.46	$11.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $25.70 / $46.77	Professional	TC	$14.45	$25.70	$46.77